Charles Francis Jacob, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13035 Issued in SC

Practice address

2650 Saint Matthews Rd
Orangeburg, SC 29118-1344

Phone

(803) 536-5509

NPI assigned

Oct 1, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DE, SC, IN3 enrollments

Enrollment records 3

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ati Holdings, LLCGroup PAC ID 9537112719, 440 clinicians

Greenville Proaxis Therapy LLCGroup PAC ID 0244267771, 221 clinicians

Advanced Physical Therapy LLCGroup PAC ID 6002959525, 170 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Greenville Proaxis Therapy, LLC

  • Physical Therapist
  • Greenville, SC
  • NPI 1669457859
  Medicare reassignment Care Compare group NPD
• Ati Holdings, LLC

  • Physical Therapy Clinic/Center
  • Rising Sun, MD
  • NPI 1396781050

  DE, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Advanced Physical Therapy, LLC

  • Physical Therapist
  • Indianapolis, IN
  • NPI 1316940505
  Medicare reassignment Care Compare group
• Greenville Proaxis Therapy LLC

  • Durable Medical Equipment & Medical Supplies
  • Greenville, SC
  • NPI 1740052000
  NPD
• Ati Holdings, LLC

  • Durable Medical Equipment & Medical Supplies
  • King of Prussia, PA
  • NPI 1750194460

  Physical Therapist

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1073331807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211",
            "telephone_number": "866-370-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 SAINT MATTHEWS RD",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291181344",
            "telephone_number": "803-536-5509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1288 S Governors Ave",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199044802",
            "country_code": "US",
            "telephone_number": "302-677-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOB",
        "first_name": "CHARLES",
        "middle_name": "FRANCIS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-01",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "13035",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0014962",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathrese Michelle Jackson
• Janette Rhodes Jackson, SLP
• Novella Jackson
• Roberta D Jackson, MA COUNSELING
• Tiffany Krystal Jackson
• Aspen Sierra Jacobe
• Brigitte Jahoor, MD
• Rickey James, MA REHAB COUNSELING
• Theresa Jameson, CRNA
• Felicia R Jamison-Cheeks, MSW

• Physical Therapist in Orangeburg, SC
• Providers in Orangeburg, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.